NPIMap

Individual provider Active NPI

Tusharkumar N Mistry, MD

  • Internal Medicine Physician
  • Englishtown, NJ
National Provider Identifier
1053302976
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07930800 Issued in NJ
Practice address
8 County Road 520 Ste a
Englishtown, NJ 07726-8478
Phone
(732) 679-4200
Fax
(732) 851-4532
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 25MA07930800 NJ
Internal Medicine Physician 207R00000X 25MA07930800 NJ Primary

Addresses

Primary practice location

8 County Road 520 Ste a
Englishtown, NJ 07726-8478

Mailing address

8 County Road 520 Ste a
Englishtown, NJ 07726-8478
Phone (732) 679-4200

Other identifiers 1

IdentifierTypeStateIssuer
0075850MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050908000956 NJ Practitioner - Internal MedicinePractitioner - General Practice 2365474616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: General Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8 County Rd
520 Suite a
Englishtown, NJ 07726-8478
Phone (732) 679-4200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07930800NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hera Inpatient Services Internal Medicine Past Accepting new patients
Executive Health Resources Clinical Staffing Solutions PC Internal Medicine Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
Clinical Staffing Solutions P.C. Internal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tmistry102070@epicdirect.rwjbh.org
  • Direct secure messaging: tmistry425320@direct.ahsys.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1053302976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 COUNTY ROAD 520 STE A",
            "city": "ENGLISHTOWN",
            "state": "NJ",
            "postal_code": "077268478",
            "telephone_number": "732-679-4200",
            "fax_number": "732-851-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 COUNTY ROAD 520 STE A",
            "city": "ENGLISHTOWN",
            "state": "NJ",
            "postal_code": "077268478",
            "telephone_number": "732-679-4200",
            "fax_number": "732-851-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISTRY",
        "first_name": "TUSHARKUMAR",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MA07930800",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07930800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0075850",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englishtown, NJ

Sources for this page

Verify at the official NPI Registry.